Healthcare Provider Details

I. General information

NPI: 1114382512
Provider Name (Legal Business Name): NOETIC HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2015
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4405 7TH AVE SE STE 200 PMB 0802
LACEY WA
98503-1055
US

IV. Provider business mailing address

4405 7TH AVE SE STE 200 PMB 0802
LACEY WA
98503-1055
US

V. Phone/Fax

Practice location:
  • Phone: 360-539-8255
  • Fax: 360-774-8476
Mailing address:
  • Phone: 360-539-8255
  • Fax: 360-774-8476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: LISA SWIHART
Title or Position: OWNER
Credential: MS, CN, LMHC, CSAT
Phone: 360-539-8255